NHS England » Lean Six Sigma some basic concepts

Institute for Innovationand ImprovementLean Six Sigma : some basic conceptsIntroductionBy Helen Bevan, Neil Westwood, Richard Crowe, Michael O' English National Health Service (NHS) is the largest healthcare system in theworld. Its annual budget is more than 70 billion and it employs million year, there were 325 million patient consultations with primary care physiciansand nurses. More than 13 million people attended a first specialty appointment inhospital and 14 million people attended the Accident and Emergency department(Chief Executive s report to the NHS, 2005).The NHS is in the middle of a 10 year programme of transformational change. The aim is to provide a health and healthcare service that meets the life-long needsof the citizens of England . Ambitious goals have been set to reduce the burden ofdisease and improve outcomes of care: to reduce hospital admissions by supportingpeople with long term conditions in managing their own care and by providingpreventative, community-based services; to improve clinical quality and safety; toimprove access to care, remove health inequalities and eliminate mission requires multiple im

Lean principles have been enhanced and developed by Toyota to create the Toyota Production System. Toyota developed Lean in the 1950s based on the work of Frederick Taylor and W. Edwards Deming, both industrial engineers. (Note, Toyota does not refer to the word Lean, it uses the Toyota Production System. See Table 1.)

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